Healthcare Provider Details

I. General information

NPI: 1124952791
Provider Name (Legal Business Name): GREER PERLE MASSEY MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715A DIVISION ST
BILOXI MS
39530-2209
US

IV. Provider business mailing address

715A DIVISION ST
BILOXI MS
39530-2209
US

V. Phone/Fax

Practice location:
  • Phone: 228-374-2492
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberC11999
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC11999
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: